- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $53,703.18 / $64,565.42
| Facility | | $44,668.36 | $53,703.18 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $77,624.71
| Facility | | $47,863.01 | $47,863.01 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $54,954.09 / $85,113.80
| Facility | | $42,657.95 | $54,954.09 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $75,857.76 / $75,857.76
| Facility | | $34,673.69 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $61,659.50 / $91,201.08
| Facility | | $44,668.36 | $61,659.50 | $91,201.08 |